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Propecia has side effects but they are very limited and often harmless. Propecia has been used by over one million men since its FDA approval 1998. The FDA approval means that Propecia was carefully clinically tested and the test results were well documented.
Propecia (Finasteride) is beside Rogaine (Minoxidil) the only FDA approved drug against hair loss. It works by blocking a major part of the DHT hormone production. DHT is one of the reasons why men loose hair because it makes your hair follicles to shrink and therefore produce thinner hair or no hair at all anymore. Propecia reduces DHT levels so that the hair folicles can recover and produce more hair again.
Propecia side effects happen in less then 2% of men and go away when you stop using the drug. Although very uncommon they can be disturbing because they are of sexual nature. The side effects can be less desire and problems achieving an erection. There might also be a decrease in semen production. The side effects go away when you stop taking Propecia. These side effects also decreased to 0.3% of men or less by the fifth year of treatment.
Propecia can also affect a blood test called PSA (prostate-specific antigen) for the screening of prostate cancer. If you have a such a test done then inform your doctor that you are taking Propecia.
Other side effects are allergic reactions like itching, rash, hives, swelling of the lips and face, breast tenderness and enlargement and testicular pain. If you notice some of these side effects then consult with your doctor.
There are no long term side effects of Propecia known other than the ones mentioned above. The Propecia alternative Rogaine with the active component Minoxidil also blocks DHT but since it is applied to the head and not taken orally like Propecia the only side effects are a possible itching of the scalp.
Propecia works best for the vertex (top of the head) area. As for the vertex area clinical studies have shown that 2 out of 3 men could stop hair loss and regrow hair. Propecia is also effective for the anterior mid-scalp (middle front of the head) area. It is not very effective in other areas of the head. It is not for women.
Propecia is no over-night hair loss remedy. You must take the drug at least 3-6 months before you can see results. It's recommended that you take Propecia at least for one year to see if it works for you or not. Since you can stop the uncommon and mostly harmless side effects of Propecia buy simply stopping to take the drug, you should give it a try.
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The original idea behind scanning an image is in many cases reproducing it. This requires a plotter or a printer in addition to the scanner. Scanner/plotters, which have plotting facilities in addition to scanning, are growing in popularity today. Their main advantage is in the uninterrupted workflow from image acquisition to reproduction. They also result in saving workspace. Total self-sufficiency of the unit is another remarkable feature. They are available in color as well as black and white, with good accuracy and high image quality. Copiers are also available with optional scanning and plotting facilities. The main field of application of scanner-plotters is in reproducing engineering drawings, graphs, charts, figures and other documents. Cartographers and city planners have great use for scanner/plotter with good optical resolution. The resolution of both the scanner and the plotter are usually chosen to be the same except in cases where enlargement is required.
Though flatbed scanners are more popular, drum-type scanner/plotters are also in great demand due to the virtually unlimited length of medium they can handle. The plotter is usually of ink-jet type. They have an excellent resolution and can reproduce a very wide range of colors on paper.
The chief drawback of a scanner/plotter is, however, the reduced flexibility of operations. For example, if any one of the scanner and the plotter develops a complaint, then both will have to go out of use. Again, since the weight of the combined unit will be about twice that of the individual units, transportation for repair and maintenance also costs more.
HP DesignJet 815MFP large format scanner and plotter is one versatile scanner/plotter commercially available. It has a resolution of 2400x1200 dpi, handles paper up to 42 inches wide, and prints at a speed of thirty-six square feet per hour. KYOCERA Mita’s KM- 4840W is a large format copier with optional plotting and scanning facilities. Screen and Contex are among other leading manufacturers.
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Many visitors to our website Potty Training and Bedwetting Solutions wonder what the different treatment options are between bedwetting and potty training. This article explores the causes and some treatment options for bedwetting.
Causes of bedwetting
The most common reasons for a child suffering from bedwetting are as follows: developmental delays (as mentioned earlier), genetics (same here), sleep disorder (such as sleeping too deeply), behavior and psychological disorders, anatomy, antidiuretic hormone levels.
The most commonly accepted, but also hardest to prove, cause of primary nocturnal enuresis is maturational delay of the central nervous system. Basically meaning that the child’s nervous system doesn’t sense that the bladder needs to be held, and the urine is released during sleep.
Sleeping disorders make up a very large percentage of children who suffer from bedwetting, and there has been extensive research done on the subject, but there have been such varying results, that it is hard for researchers to determine a primary sleep disorder that can be determined as the main cause for bedwetting.
Some people believe that bedwetting is mainly caused behaviorally, which leads to the issue of psychological consideration- some studies have shown that psychologically children who suffer from nocturnal enuresis have essentially the same behaviors as children who don’t, while other studies have concluded the opposite. In those studies that show psychological differences between the two groups, the differences have mainly been that a child who has a bedwetting problem is less social and has more self-esteem issues than the other group. This begs a question though: do the low self-esteem and social issues go hand in hand with bedwetting children, or does the bedwetting lead to these types of psychological situations in these children?
Family history is also very important, and many studies have shown results that deem it almost conclusive that if a parent suffered from bedwetting as a child, there is a very strong chance that their child will. In fact, one study showed that in a family where both parents suffered from this condition, there was a 77 percent chance that their child would do the same. This is a helpful finding, because it helps dispel the theory that enuresis is a behavioral problem. In turn, this makes it more acceptable, and causes slightly less frustration and guilt, which can lead the way for a better outcome following therapy.
Treating bedwetting
In the beginning of trying to deal with a bedwetting situation, you may opt to try different methods of battling it without the interference of doctor or medical care. Whether or not medical intervention will be necessary depends largely on many factors, including such issues as the child’s age, how often they actually wet the bed, and the perceived severity of the problem by the child’s family, and most children actually do outgrow bedwetting, never needing treatment for it by a physician at all.
Many parents use night time diapers to battle bedwetting, and while these work great in preventing the bed from getting wet due to the accident, they actually do very little in the way of helping resolve the issue. Although it is obviously very important to focus on this part of bedwetting, it is also very important to try to prevent future occurrences. This is why is a good idea to try and step in as early as possible to use many basic methods of prevention. Then, when these don’t work, you may decide to take your child to the doctor. You should know, though, that children younger than six years of age are usually not treated by doctors if bedwetting is the only problem.
Once you have decided to take your child to a physician concerning bedwetting, it is important to know that it may take a long time to actually reach the ultimate goal of completely accident-free nights. It is a long process in which both the parent and the child must remain dedicated. There are two methods which doctors utilize to deal with bedwetting problems: behavioral therapy and medicine. It is extremely important that the parent and child be as cooperative as possible, and be willing to try the doctor’s suggestions. If anyone has a bad attitude about the situation, it can make solving the problem a whole lot harder, if not impossible.
When you first take your child to the doctor, they will most likely want to rule out any medical conditions in the very beginning. While most of the children who are seen by physicians regarding bedwetting are perfectly healthy, some actually do have a medical condition. So, before a doctor will approach it as if they don’t, they will want to make sure that this really is the case. The evaluation the doctor does on your child should be geared toward ruling out anatomic abnormalities of the urinary tract or bladder. These can include such situations as posterior urethral valves, an ectopic ureter, or an epispadiac urethra, which is a urethral opening on the dorsum of the penis. When the doctor does a thorough exam, which will include gathering family medical history, a physical exam, and a urine evaluation, they are usually able to determine whether or not there is a medical condition and, if there is, what that condition might be. When, and even before, your child is being medically treated for enuresis, it is an excellent idea to keep a diary of bedwetting episodes. Along with this diary, if the child’s bedwetting does not occur repetitively on a nightly basis, it is a good idea to write down anything that might have occurred that day to upset your child’s normal psychological balance.
Once the doctor has determined whether there is, or is not, a medical condition contributing to your child’s bedwetting situation, they can determine which methods of treatment will best help them. Again, it is important to remember that consistent follow-up can be a key to improvement in bedwetting (it is also good to know that improvement is usually defined by most doctors as a 50 percent decrease in the frequency of bedwetting episodes).
Your doctor may decide to use just one method of treatment or both in conjunction with one another. The behavioral methods can, and usually do, include the following: an alarm system, a reward system, asking your child to change the sheets, and bladder training.
An alarm system Bedwetting Alarms can be an excellent tool for helping by retraining your child’s sleeping patterns so that they sleep more lightly, and wake up more often during the night, allowing less time for an accident to occur. You can set these for a certain amount of time and have your child get up and try to use the restroom every time the alarm goes off.
A reward system can also be a very successful method of behavior therapy, especially once the child has learned new sleep patterns and is having less frequent accidents. Giving them either a small reward each day after a dry night, or a large reward at the end of a certain length of time, such as an entire week of dry nights, can help give your child even more incentive to try to wake up at night.
Having your child change the sheets is also an excellent way to help keep them from having as many bedwetting nights. While it is never good to punish a child for something they have little to know control over, this is not punishment, and is instead a way for them to learn that they have to be responsible for their actions, even if those actions occur while they are sleeping. This also works well because they are having to get up out of bed and be pulled from the deep sleep more often, which in turn can lead them to sleep more lightly on a regular basis.
Bladder training is another form of behavioral therapy that can help limit bedwetting nights. This is defined by, during the day, having your child hold their bladder for longer and longer periods of time. They may always go to the restroom immediately when they feel the urge to go, and so when they are in a deep sleep, that is how their body reacts when that urge hits them. If you teach your child to hold it for as long as they can when the urge comes while they are awake, they are more likely to be able to hold it subconsciously while they are asleep.
If behavioral therapies do not work, and only if the child is 7 years of age, or older, medicines may be prescribed. Medicines work best in conjunction with behavioral therapy, because they are not a cure for bedwetting. They also may have side effects. If you do decide to go with medicines as a treatment option for your child, there are two common kinds, one of which your doctor will likely prescribe. One of these helps the bladder hold more urine, and one helps the kidneys make less urine. Obviously, these are not the types of drugs you will want your child to have to take consistently for the rest of their life. Instead, they are best when used temporarily in conjunction with the behavior therapy mentioned earlier.
Helping your child cope with bedwetting
Not only should you try to help your child overcome their bedwetting problem, but you should also focus on helping them to understand it and not feel quite so bad about it, if at all possible. Your child likely feels very ashamed at being a bedwetter. They may also feel guilt for not being able to control their body in a way that they feel they should. This is very likely in older children. You should never punish your child for this problem. It is very important to remember that your child cannot help it. Again, the older the child is, the more this applies, and your child is likely even more irritated about it than you are. You should try to not make your child feel any more guilt about it than they already do.
It may also help your child to know that no one really knows the exact cause of bedwetting, because there are too many factors that have to be considered in each case. Explain to them the many different causes that might be affecting their situation, and the fact that these reasons are not their fault, and that you will help them overcome it. Tell them as much information as is necessary to help them be able to deal with it without thinking less of themselves. For instance, if you wet the bed as a child, be sure and explain this, while also informing them that it can run in families. This might help take some of the pressure off and relieve some of their guilt.
Just remember, this is a rough time on both you and your child, and you should use whatever methods necessary to dispel your bedwetting difficulties. Keeping the right no-fault attitude can definitely help, as well as having an open mind to suggestions for treatments, and being dedicated to whatever ways you decide to treat bedwetting and/or potty training.
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Maureen Dowd was on Imus the other morning plugging her new book, “Are Men Necessary”; a book I plan to buy so I can get some slightly demented insight into the mind of a troubled woman. During the interview, Imus and his sidekick Charles challenged Ms. Dowd about a female perception she had just suggested that all heterosexual men froth at the mouth at the mere mention of a trip to a strip club or the possibility of a cat fight or the chance two women might lock in lesbian love making. Imus proclaimed that he, even amidst the weakness of lowly cocaine induced comas and vodka fed stupors, never stepped inside a topless joint. Charles nodded his head in brotherhood like the bobble-head doll he is sometimes. Their point being, not all men are beasts; that some have evolved above such shameful sexual servitude.
A couple of things.
First, Imus and Charles are probably lying through their coffee stained teeth about visiting strip clubs.
Second, I have frequented such establishments years ago. I eventually concluded that go-go bars are places where prematurely balding, man-boobed, middle aged business men hire enterprising young shapely women, forming a convenient unholy alliance of distrust to tap into the cash cow created when injured fragile male egos are deceived by alcohol induced sexual fantasy. All the females need to do is squirm provocatively while whispering real sweet nothings into customers’ hair filled ears. And if carried out correctly, the dollars shoot out of the slobbering stooges like ATMs in gleeful male orgasm. Make no mistake about it; the dancer is always in control of the patron. And when she is not, she moves on to the next penis clad cash machine. The only cost to her is to turnover some obscene percentage of the take to her sleazy male boss. It’s a business after all, and business is still a male dominated endeavor.
Third, if one has ever listened to Imus for more than an hour, one knows he and his cronies takes delight in sexually stereotyping and demeaning women. This idea that Charles and he are better than that is all part of the act.
For instance, a few minutes further into the same interview, Imus commented on the “balls” it took for Maureen Dowd to write a particular op-ed piece about Judith Miller—a remark that she quickly and graciously accepted with a simple and sweet, “thank you”. Although I haven’t checked, I’m going to go out on a limb and say that Ms. Dowd does not have testicles. So why was she so quick to acknowledge and accept what I’m guessing she felt was a compliment? I’m pretty sure that bravery, fearlessness, strength, and conviction—all nice attributes to have when kept in check by common sense—are not gender assigned. And I’m positive they are not a function of male genitalia. I’m equally convinced that reluctance, fearfulness, and weakness do not require one to have a vagina.
It’s one thing, a very feeble thing at that, for Imus and his crew or even Jon Stewart and Al Franken for that matter—all professed non-chauvinists—to use male-centric language in an “equal opportunity” way; misguided into believing that somehow they are treating women and men equally.
It is another thing though for Maureen Dowd to acknowledge and welcome her inclusion into the club. She could have simply said, “Imus are you suggesting that I have to be a man to be tough?”
I am sure if asked Maureen Dowd would say without hesitation that she is a feminist or at least a proponent of feminist beliefs. Why then did she let Imus off the hook and indulge in the myth?
Like many things about feminists, I don’t get it. They can be their own worst enemy from time to time—just like Democrats when they run a national campaign.
Here is another example of something I don’t get. Why do some corporate feminists find short tight skirts, plunging necklines and push-up bras to be the business suit of choice? I suppose they might argue, just as strippers might, that they are simply using their power over men to get what they want. And on some level I understand that argument: play into the male need to be the sexual alpha dog as long as the targeted objective is personal gain. This attitude however strikes me as feeding the very stereotyping and sexism women want to end, which leads me into a short discussion of another dilemma I have with feminism. Within the last few years, I have been introduced to the forefront of feminist thought. Well not introduced exactly, more like pummeled. Here is what I have learned. I have something called. “white male privilege”. Essentially, whether I consciously or subconsciously acknowledge that privilege, it doesn’t matter. I have it and I need to “own it”. I’m pretty sure that means I have to fess up to it and wear it like a scarlet letter (although a white penis will do just fine). Believe me! I understand the importance of the concept. The dried blood tracking from my ears is proof positive of the difficulties and hard work it took me to reach that understanding.
But that’s as far as the feminists have taken me. I’m afraid to tell them but it’s like a false crescendo. It can’t be the end of the symphony. Okay, so I “own” white male privilege. What next? There must be more. Am I supposed to give it up someday? Is it like owning an unregistered gun? Will there be a turn-in-your-white-male-privilege amnesty day? I’d be more than happy to if I just knew when, where and to whom? Or come to think of it, maybe not. What takes its place? Or worse, who gets it next? Gee, maybe I should take advantage of it more consciously while I still have it.
Anyway, in the meantime, as I meander aimlessly, I’m going to refrain from saying stuff like, “Hey that Barbara Boxer, she sure has some pouch of brass nuggets on her.” I will also try to be more cognizant of this privilege I have and renounce it at every turn. It’s all I can do until I get further instructions.
You know, I can’t help but think if reincarnation happens, I might want to come back as an earthworm. They have both the male and female sex organs. When they mate they impregnate each other. Everything is “even up”. And the result is that they are a pretty happy bunch. You don’t hear about earthworms having male/female issues. Okay so they have other issues—fish hooks being a big one. But quite frankly, I’m not sure that is any worse; sometimes I think it is a whole lot better.
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If you have taught your child all the rules of ‘stranger danger’ you have protected him/her from a 1% chance of being sexually abused. This leaves your child vulnerable to the most likely sexual child abuse offender, family members or other trusted adults. 80% of children are sexually abused by a family member, 19% are abused by someone the child knows and trusts. The other little known statistic is the frequency of sexual child abuse. David Finkelhor and Dianna Russell’s research reveals 62% of girls and 31% of boys will be sexually abused by age 18. Unfortunately this statistic is considered low due to the difficulty in gathering data through surveys or reporting agencies.
For many decades we have screamed, ranted, condemned, demanded and enacted legislation to punish sex offenders to little avail. The news media and magazines have joined in the campaign to illuminate the problem after the damage is done. As a result of the media’s incessant coverage and hype of ‘strangers,’ we have come to believe if we teach our children about ‘stranger danger,’ we have thoroughly protected our children from this horrific crime.
The first response we form when hearing of sexual abuse or incest is denial. ‘I don’t have to be concerned about that in my community. That would never happen in my family.’ The unbelievable reality is that a person who sexually abuses children may seem very average and ordinary to the world. Furthermore, we find sexual abuse and incest even more difficult to believe or accept when the person we like, admire, love, and/or marry is the perpetrator of the abuse. Tragically, the unwillingness to accept the facts concerning sexual abuse perpetrators leaves children vulnerable to becoming victims and increases the likelihood that they will be abused. To understand how sexual child abuse is perpetrated by the person we least suspect one needs to have a comprehensive definition of sexual abuse.
“Traditionally, incest [sexual abuse] was defined as: sexual intercourse between two persons too closely related to marry legally--sex between siblings, first cousins, the seduction by fathers of their daughters. This dysfunctional blood relationship, however, does not completely describe what children are experiencing. To fully understand all sexual abuse, we need to look beyond the blood bond and include the emotional bond between the victim and his or her perpetrator. Thus, a new definition has emerged. The new definition now relies less on the blood bond between the victim and the perpetrator and more on the experience of the child. Incest is both sexual abuse and an abuse of power. It is violence that does not require force.
Another is using the victim, treating them in a way that they do not want or in a way that is not appropriate by a person with whom a different relationship is required. It is abuse because it does not take into consideration the needs or wishes of the child; rather, it meets the needs of the other person at the child’s expense. If the experience has sexual meaning for another person, in lieu of a nurturing purpose for the benefit of the child, it is abuse. If it is unwanted or inappropriate for her age or the relationship, it is abuse. Incest [sexual abuse] can occur through words, sounds, or even exposure of the child to sights or acts that are sexual but do not involve her. If she is forced to see what she does not want to see, for instance, by an exhibitionist, it is abuse. If a child is forced into an experience that is sexual in content or overtone that is abuse.
As long as the child is induced into sexual activity with someone who is in a position of greater power, whether that power is derived through the perpetrator’s age, size, status, or relationship, the act is abusive. A child who cannot refuse, or who believes she or he cannot refuse, is a child who has been violated.. (E. Sue Blume, Secret Survivors).”
There are two types of sexual abuse approaches—overt and covert.
Overt sexual abuse is openly sexual and apparent. Although there may be an attempt to deny that it is abusive, there is no attempt to hide the fact that it is sexual in nature.
Covert sexual abuse is more insidious. Thus, identifying it is harder, because the sexual nature of the action is disguised. The perpetrator acts as if she/he is doing something non-sexual, when in fact he or she is being sexual. The betrayal then becomes two-fold. The child is not only abused, but also tricked or deceived about the act. In this dishonesty, the child is unable to identify or clarify his/her perception of the experience. The unreal or surreal sense that accompanies any sexual abuse is intensified when the child is tricked into disbelief. Thus, the child doubts his/her perceptions and feelings and believes that there is something wrong with him/herself because he/she feels terrible. To make matters worse, everyone around her/him discounts signs of the abuse, because we don’t want to believe someone with a sterling public image would do such a thing. Thus the child feels crazy, as if she/he is the one with the problem.
One example of overt sexual abuse whereby the perpetrator disguises his actions and those present are in denial about what is transpiring is exemplified by the incident a client, who is a sexual abuse survivor, reported seeing. Her father (her perpetrator) kissed his granddaughter, her one-year-old niece on the pubic area after her niece finished her bath. Her sister, the child’s mother, the child’s grandmother (wife of the perpetrator) were present. “My sister and mother (the child’s grandmother) laughed and I got sick to the stomach. Am I over reacting,” she asked. Obviously, her sister and mother are unaware of the definition of sexual abuse. Except for the fact this woman was in therapy she would not have considered it sexual abuse either.
An example of covert sexual abuse by someone we least expect is exemplified by a 39 year-old woman who came to me after having a severe panic attack. During our investigation as to the root cause of the panic attack she revealed she had been ‘fondled’ when she was nine by a family friend. “He helped me on with my coat at a family gathering. As he adjusted my coat onto my shoulder, he fondled my breast.” This type fondling is often times referred to as ‘coping a feel.’ No matter the label, it is sexual abuse and causes damage. Women know how icky it feels when a man ‘cops a feel.’ Can you imagine what it would feel like for a nine-year-old, who has no information to comprehend and emotionally resolve what she experienced?
Another example of covert sexual abuse by someone you least expect was told to me by my client, Rickie (not his real name). He remembered being held by his mother’s best friend in the water at the beach when he was six, while his parents sat on the beach. Fully protected from view by the water, she fondled his penis. This was not the end of the sexual abuse. When Rickie was 15 years old, she enticed him to have sex with her at her home while he waited for her son, his friend to come home. The second incident of her sexual abuse of Rickie was overt.
There are six key techniques to abuse-proof your child.
•Avoid spanking your child—spanking is a body boundary violation. Perpetrators target children who have had body boundary violations because they are less apt to protest any unacceptable body boundary violations, are more compliant with adults and are less apt to tell. You can avoid your child from falling prey to these cunning perpetrators by doing everything to avoid making your child a target.
•Avoid touching your child in erotic areas—buttocks, chest, thighs, etc. Perpetrators state they use familiar touch (rubbing the child’s legs, buttocks or hugging/kissing) to desensitize the child before using touch which is sexual in content and intent. If your child is unaccustomed to being touched in erotic areas, he/she will protest immediately. Protesting will either thwart the perpetrator or alert anyone nearby that something is awry.
•Teach your child self-protection by teaching him/her to protest violation of body boundaries or unwanted touch beginning at age two.
•Practice and teach your child good body image.
•Practice and teach your child to TELL YOU EVERYTHING, NO SECRETS FROM MOMMY and DADDY.
•Practice and Teach Appropriate Suspicion—Trust your intuition, (a.k.a Sixth Sense)
